ANTHONY PROVAZZA

EXETER, NH
NPI1790853547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NH  465)
Enumeration Date2006-12-01
Last Update Date2007-07-18
Business Address
-- ANTHONY PROVAZZA LICSW
24 FRONT ST
EXETER, NH 03833-2727
Phone number: 603-866-6269
Mailing Address
-- ANTHONY PROVAZZA LICSW
24 FRONT ST
EXETER, NH 03833-2727
Phone number: 603-866-6269
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